A nurse has developed a six-month program to address the increased incidence of hospital-acquired infections among clients in a long-term care facility.
The program includes three mandatory classes on proper handwashing techniques and increases the availability of hand cleansers in the facility.
Which measure provides the best indication of the program’s effectiveness?

Answer and explanation

The correct answer is Choice B.

Choice A rationale

Allowing the family to visit whenever they wish can provide emotional support to the client, which is important in palliative care. However, it may not directly address the physical symptoms associated with multiple sclerosis (MS), such as pain and anxiety.

Choice B rationale

Administering medication as needed for pain and anxiety should be prioritized in the care plan for a client with MS in a palliative care unit. MS can cause varying degrees of pain and anxiety, and managing these symptoms can significantly improve the client’s quality of life during the advanced stages of the disease.

Choice C rationale

Maintaining a quiet environment with low lighting can help create a calm and comfortable atmosphere for the client. However, it does not directly address the physical symptoms of MS34.

Choice D rationale

Allowing the client to participate in the care provided can promote a sense of control and autonomy. However, it may not directly address the physical symptoms associated with MS34.

Answer and explanation

The correct answer is Choice C.

Choice A rationale

While ensuring safe drinking water is important during a disaster, it may not be the most important content for a community health nurse to include in a disaster management class in a Gulf Coast town that caters to tourists.

Choice B rationale

Knowing available evacuation routes from the town is crucial during a disaster. However, in a Gulf Coast town that caters to tourists, the most significant threat is likely to be hurricanes.

Choice C rationale

Given the geographical location of the Gulf Coast town, hurricane preparedness for families and businesses is the most important content to include in the class. Hurricanes are a common natural disaster in this area, and being prepared can help reduce the impact of such events.

Choice D rationale

While it’s important to know what actions to take during a tornado, tornadoes are not as common as hurricanes in Gulf Coast towns. Therefore, hurricane preparedness would be more relevant to include in the class.